PMID- 34167924 OWN - NLM STAT- MEDLINE DCOM- 20220419 LR - 20220809 IS - 2254-8874 (Electronic) IS - 2254-8874 (Linking) VI - 222 IP - 4 DP - 2022 Apr TI - Meta-analysis evaluating the risk of respiratory tract infections and acute respiratory distress syndrome with glucagon-like peptide-1 receptor agonists in cardiovascular outcome trials: Useful implications for the COVID-19 pandemic. PG - 229-232 LID - S2254-8874(21)00101-6 [pii] LID - 10.1016/j.rceng.2021.04.002 [doi] AB - Patients with type 2 diabetes mellitus (T2DM) are at increased risk for severe coronavirus disease 2019 (COVID-19) and related mortality. Glucagon-like peptide-1 receptor agonists (GLP-1-RAs) have significant cardiovascular and renal benefits for patients with T2DM and related comorbidities. Their anti-inflammatory properties could be beneficial in these patients. This work provides less-biased estimates regarding the risk for respiratory tract infections and acute respiratory distress syndrome by performing the first significant meta-analysis of cardiovascular outcome trials in the literature. Notably, GLP-1-RAs do not seem to increase the risk for respiratory tract infection, pneumonia, or acute respiratory distress syndrome in patients with T2DM and cardiovascular comorbidities. CI - Copyright (c) 2021 Elsevier Espana, S.L.U. and Sociedad Espanola de Medicina Interna (SEMI). All rights reserved. FAU - Patoulias, D AU - Patoulias D AD - Second Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, General Hospital "Hippokration", Thessaloniki, Greece. Electronic address: dipatoulias@gmail.com. FAU - Boulmpou, A AU - Boulmpou A AD - Third Department of Cardiology, Aristotle University of Thessaloniki, General Hospital "Hippokration", Thessaloniki, Greece. FAU - Imprialos, K AU - Imprialos K AD - Second Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, General Hospital "Hippokration", Thessaloniki, Greece. FAU - Stavropoulos, K AU - Stavropoulos K AD - Second Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, General Hospital "Hippokration", Thessaloniki, Greece. FAU - Papadopoulos, C AU - Papadopoulos C AD - Third Department of Cardiology, Aristotle University of Thessaloniki, General Hospital "Hippokration", Thessaloniki, Greece. FAU - Doumas, M AU - Doumas M AD - Second Propedeutic Department of Internal Medicine, Aristotle University of Thessaloniki, General Hospital "Hippokration", Thessaloniki, Greece; Veterans Affairs Medical Center, George Washington University, Washington, District of Columbia, Columbia, United States. LA - eng PT - Case Reports PT - Meta-Analysis DEP - 20210605 PL - Spain TA - Rev Clin Esp (Barc) JT - Revista clinica espanola JID - 101632437 RN - 0 (Glucagon-Like Peptide-1 Receptor) RN - 0 (Hypoglycemic Agents) RN - 89750-14-1 (Glucagon-Like Peptide 1) SB - IM MH - *COVID-19 MH - *Cardiovascular Diseases/epidemiology/etiology MH - *Diabetes Mellitus, Type 2/chemically induced/complications/drug therapy MH - Glucagon-Like Peptide 1 MH - Glucagon-Like Peptide-1 Receptor/agonists MH - Humans MH - Hypoglycemic Agents/adverse effects MH - Pandemics MH - *Respiratory Distress Syndrome/drug therapy PMC - PMC8179096 OTO - NOTNLM OT - Agonistas del receptor del peptido similar al glucagon tipo 1 OT - COVID-19 OT - Diabetes mellitus tipo 2 OT - Glucagon-like peptide-1 receptor agonists OT - Infeccion respiratoria OT - Neumonia OT - Pneumonia OT - Respiratory infection OT - Type 2 diabetes mellitus EDAT- 2021/06/26 06:00 MHDA- 2022/04/20 06:00 PMCR- 2021/06/05 CRDT- 2021/06/25 05:50 PHST- 2021/03/22 00:00 [received] PHST- 2021/04/13 00:00 [accepted] PHST- 2021/06/26 06:00 [pubmed] PHST- 2022/04/20 06:00 [medline] PHST- 2021/06/25 05:50 [entrez] PHST- 2021/06/05 00:00 [pmc-release] AID - S2254-8874(21)00101-6 [pii] AID - 10.1016/j.rceng.2021.04.002 [doi] PST - ppublish SO - Rev Clin Esp (Barc). 2022 Apr;222(4):229-232. doi: 10.1016/j.rceng.2021.04.002. Epub 2021 Jun 5.